Continuing Care Provider definition
Continuing Care Provider. A provider who has an agreement with the BadgerCare Plus and/or Medicaid SSI program to provide:
Continuing Care Provider. A provider who has an agreement with the Department to provide: Contract Services: Services that the PIHP is required to provide under this Contract. Contractor: An entity to which the PIHP awarded a contract resulting from the ▇▇▇▇▇▇ Care Medical Home (FCMH) certification process to provide managed care in accordance with this Contract. Coordination of Benefits (COB): Industry term applied to agreements among payers to assign liability and to perform the end-to-end payment reconciliation process. This term applies mostly to the electronic data interchanges associated with Health Insurance Portability and Accountability Act (HIPAA) transactions.
Continuing Care Provider means (as stated in 42 CFR 441.60(a)) a provider who has an agreement with the Medicaid agency to provide:
Examples of Continuing Care Provider in a sentence
As required by the Pennsylvania Continuing Care Provider Registration and Disclosure Act 82, an annual Disclosure Statement will be made available to Resident on or before April 30 of each year.
The statutory provisions of the Pennsylvania Continuing Care Provider Registration and Disclosure Act 82 cannot be waived by the Resident or Willow Valley.
Messiah Village shall make available to Resident at the time of the execution of this Agreement, and at least annually thereafter, a copy of its Disclosure Statement required by the Continuing Care Provider Registration and Disclosure Act, Act No. 82 of 1984 (“Act 82”).
Formally Enrolled with a Continuing Care Provider (as cited in 42 CFR 441.60(d)): A member, member’s guardian, or authorized representative agrees to use one continuing care provider as the regular source of a described set of services for a stated period of time.
As required by the Pennsylvania Continuing Care Provider Registration and Disclosure Act, an annual Disclosure Statement will be provided to each Resident.
More Definitions of Continuing Care Provider
Continuing Care Provider. A provider who has an agreement with the Department to provide:
Continuing Care Provider. A provider who has an agreement with the Department to provide: Contract: The agreement executed between the PIHP and the Department to accomplish the duties and functions, in accordance with the rules and arrangements specified in this document. Contract Services: Services that the PIHP is required to provide under this Contract. Contractor: A PIHP awarded a contract resulting from the ▇▇▇▇▇▇ Care Medical Home (FCMH) certification process to provide managed care in accordance with this Contract. Coordination of Benefits (COB): Industry term applied to agreements among payers to assign liability and to perform the end-to-end payment reconciliation process. This term applies mostly to the electronic data interchanges associated with Health Insurance Portability and Accountability Act (HIPAA) transactions. Corrective Action Plan: Plan communicated by the State to the PIHP for the PIHP to follow in the event of any threatened or actual use or disclosure of any Confidential Information that is not specifically authorized by this Agreement, or in the event that any Confidential Information is lost or cannot be accounted for by the PIHP. This also refers to the plan communicated to the State by the PIHP to address a deficiency in contractual performance. Culturally Competent: A set of congruent behaviors, attitudes, practices and policies that are formed within an agency, and among professionals that enable the system, agency, and professionals to work respectfully, effectively and responsibly in diverse situations. Essential elements of cultural competence include understanding diversity issues at work, understanding the dynamic of difference, institutionalizing cultural knowledge, and adapting to and encouraging organizational diversity. Days: Unless stated otherwise, “days” means calendar days Department: The Wisconsin Department of Health Services (DHS). The State agency responsible for the ▇▇▇▇▇▇ Care Medical Home Program. Department of Children and Families (DCF): The State agency responsible for the child welfare program in Wisconsin.
Continuing Care Provider means as stated in 42 CFR 441.60(a), a provider who has an agreement with the Medicaid agency to provide:
Continuing Care Provider. A provider who has an agreement with the Department to provide: Contract: The agreement executed between the PIHP and the Department to accomplish the duties and functions, in accordance with the rules and arrangements specified in this document. Contract Services: Services that the PIHP is required to provide under this Contract. Contractor: A PIHP awarded a contract resulting from the ▇▇▇▇▇▇ Care Medical Home (FCMH) certification process to provide managed care in accordance with this Contract. Coordination of Benefits (COB): Industry term applied to agreements among payers to assign liability and to perform the end-to-end payment reconciliation process. This term applies mostly to the electronic data interchanges associated with Health Insurance Portability and Accountability Act (HIPAA) transactions. Corrective Action Plan: Plan communicated by the State to the PIHP for the PIHP to follow in the event of any threatened or actual use or disclosure of any Confidential Information that is not specifically authorized by this Agreement, or in the event that any Confidential Information is lost or cannot be accounted for by the PIHP. This also refers to the plan communicated to the State by the PIHP to address a deficiency in contractual performance. Culturally Competent: A set of congruent behaviors, attitudes, practices and policies that are formed within an agency, and among professionals that enable the system, agency, and professionals to work respectfully, effectively and responsibly in diverse situations. Essential elements of cultural competence include understanding diversity
Continuing Care Provider. A Provider who formally agrees: to provide to enrolled individuals in Medicaid, screening, diagnosis, and treatment for conditions identified during EPSDT screening visits (within the Provider’s capacity) or referral to a Provider capable of providing the appropriate services; maintains a complete health history, including information received from other Providers; is responsible for providing needed physician services for acute, episodic and/or chronic illnesses and conditions; and ensures accountability by submitting reports reasonably required by the Contractor and/or DCH. Contract: The written agreement between the State and the Contractor; comprised of the Contract, any addenda, appendices, attachments, or amendments thereto. Contract Award: The date upon which the Apparent Successful Vendor Letter(s) is issued by the Department of Administrative Services. Contract Effective Date: The date when the rights and obligations under the Contract become operational. For purposes of this Contract, the Effective Date is the date upon which the Centers for Contract Execution Date: The date upon which all Parties have signed the Contract.